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Deactivated NPI 1528170214 Deactivated / Inactive NPI Male Practitioner

Joel L Etra , SLPD

Speech-Language Pathologist • Norwich, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joel Etra has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date January 10, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Joel Etra, SLPD was a registered Speech-Language Pathologist practicing in Norwich, CT. Throughout an active medical career spanning 18 years, Joel Etra provided care at the practice location at 507 NEW LONDON TPKE until profile deactivation on 2024-01-10.

Practice Location & Contact Primary Location

Practice Address

507 New London Tpke

Norwich, CT 063606552

Telephone 8606083300
Fax 8608895817

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Norwich, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Norwich, CT (1653 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CT 00680

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 10, 2024

Record deactivated on January 10, 2024

NPI Profile Active June 03, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 03, 2009

Registered at 507 NEW LONDON TPKE, NORWICH, CT 063606552 (Tel: 8606083300)

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Updated Business Mailing Address June 03, 2009

Registered at 507 NEW LONDON TPKE, NORWICH, CT 063606552 (Tel: 8606083300)

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Provider Name / Credentials Updated June 03, 2009

Recorded as JOEL ETRA, SLP.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2009

Speech-Language Pathologist (License #00680 in CT)

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Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528170214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: June 03, 2009
Deactivation Date: January 10, 2024

Mailing Address

507 New London Tpke

Norwich, CT 063606552

Phone: 8606083300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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